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Pneumocystis jirovecii Pneumonia

Imaging findings

Chest radiographs show bilateral diffuse consolidative and ground-glass opacities. There is no pleural effusion or signs of volume overload, typical of opportunistic pneumonia. Diagnosis is confirmed via positive PCR on bronchoalveolar lavage.

Key takeaways

In solid organ transplant recipients, Pneumocystis jirovecii pneumonia presents with typical bilateral diffuse ground-glass or consolidative opacities. Diagnosis can be confirmed via bronchoalveolar lavage PCR, and CT is often unnecessary when radiographic findings are classic.

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